Individual
JODI KITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070011279
IL
225100000X
Physical Therapist
Primary
12947-24
WI
Other
Enumeration date
02/12/2007
Last updated
05/04/2015
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